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1139686

registered interest
date	17/07/2019
answering body	Department of Health and Social Care
answering dept id	17
answering dept short name	Health and Social Care
answering dept sort name	Health and Social Care
hansard heading	Medical Equipment: UK Notified Bodies
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health and Social Care, what assessment he has made of the adequacy of the number of notified bodies to service medical devices under the terms of the Medical Devices Regulation.
tabling member constituency	Bolton West
tabling member printed	Chris Green
uin	278523
answer	answer is ministerial correction date of answer 25/07/2019 answer text <p>New European Union Regulations for medical devices (MDR) entered into force in May 2017 and will fully apply from May 2020.</p><p>The new Regulations substantially strengthen the regulatory framework for medical devices and notified bodies are having to make significant changes to meet the enhanced requirements. These changes have the aim of improving the quality, consistency and rigour of notified body assessments, which was one of the Government’s key aims for the new legislation.</p><p>Ministers have met with and received letters from industry representatives who have raised concerns about capacity in the notified body sector across the EU to support the implementation of the MDR. The Government recognises the importance of having competent notified bodies across the EU in place in sufficient time to ensure continuity of supply of products to the United Kingdom market.</p><p>For this reason, at the Employment, Social Policy, Health and Consumer Affairs (EPSCO) Council on 14 June, the Parliamentary Under-Secretary of State (Baroness Blackwood of North Oxford) raised the Government’s concerns about the readiness of critical infrastructure required to implement the MDR and the risk that some existing and new to market products will not be available to patients as a result.</p><p>We very much recognise the benefits of the new Regulations and the imperative of full implementation as soon as possible in the interests of patient safety. Therefore, at EPSCO the Government emphasised the importance of finding a coordinated solution at an EU level and we will continue to do what we can to influence these discussions.</p><p>In parallel with this activity, the Medicines and Healthcare products Regulatory Agency (MHRA) has been engaging with its notified bodies on an ongoing basis to ensure that sufficient resources are in place and notified bodies are prepared for the implementation of the new EU legislation. The MHRA is also offering a substantial amount of resource to the EU in order to support and expedite the designation process.</p><p>Through the Office for Life Sciences, the Government plans to work with stakeholders to come to a shared understanding of the issues and discuss what further mitigating action could be taken. Further engagement with industry will therefore take place in the short term.</p><p> </p> answering member constituency Thurrock answering member printed Jackie Doyle-Price grouped question UIN 277763 277764 question first answered 25/07/2019 10:00:04 answering member 4065 label Biography information for Dame Jackie Doyle-Price
tabling member	4398 label Biography information for Chris Green

1139705

registered interest
date	17/07/2019
answering body	Department of Health and Social Care
answering dept id	17
answering dept short name	Health and Social Care
answering dept sort name	Health and Social Care
hansard heading	NHS: Pensions
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health and Social Care, what discussions he has had with the British Medical Association and other representative bodies on proposals to mitigate the effect of pension taxation on the NHS.
tabling member constituency	Hornsey and Wood Green
tabling member printed	Catherine West
uin	278568
answer	answer is ministerial correction date of answer 25/07/2019 answer text <p>The Government is listening to concerns raised by doctors that pension tax charges are driving decisions to retire early or limit their National Health Service commitments, and has incorporated the views of the British Medical Association (BMA) and other key stakeholders into the consultation ‘NHS Pension Scheme: proposed flexibility’.</p><p>The consultation sets out a potential 50:50 option, offering 50% pension accrual and halved contributions. As part of the five-year general practitioner contract announced earlier this year, the BMA and NHS England asked the Government to consider introducing a 50:50 option as an appropriate flexibility, and the BMA have welcomed this as a step in the right direction.</p><p>The consultation period is an opportunity to listen to a range of views before reaching a final position that works for both staff and taxpayers. The Department encourages NHS staff and employers to contribute their views.</p> answering member constituency Wimbledon answering member printed Stephen Hammond question first answered 25/07/2019 14:43:09 answering member 1585 label Biography information for Stephen Hammond
tabling member	4523 label Biography information for Catherine West

1139818

registered interest
date	17/07/2019
answering body	Department of Health and Social Care
answering dept id	17
answering dept short name	Health and Social Care
answering dept sort name	Health and Social Care
hansard heading	Cancer: Children and Young People
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health and Social Care, what steps he plans to take to ensure that the target set out in the NHS long term plan that 50 per cent of teenagers and young adults with cancer will be able to take part in clinical trials by 2025.
tabling member constituency	Alyn and Deeside
tabling member printed	Mark Tami
uin	278391
answer	answer is ministerial correction date of answer 23/07/2019 answer text <p>The Department’s National Institute for Health Research (NIHR) is working with NHS England, cancer charities, teenage and young adult cancer patients, and clinicians towards meeting this NHS Long Term Plan commitment.</p><p>The NIHR Clinical Research Network has held two summits. The first summit, held in 2017, developed a clear strategy. The second summit, held in April this year, focused on ensuring that the strategy’s objectives were still fit for purpose, and that the right stakeholders were engaged to ensure successful delivery. The NIHR Clinical Research Network is now funding a dedicated teenage and young adult cancer research nurse in each of its 15 Local Clinical Research Networks, with posts made available from 1 April 2019.</p><p> </p><p> </p><p><strong> </strong></p><p><strong> </strong></p> answering member constituency Gosport answering member printed Caroline Dinenage question first answered 23/07/2019 16:06:24 answering member 4008 label Biography information for Dame Caroline Dinenage
tabling member	1383 label Biography information for Mark Tami

1139924

registered interest
date	17/07/2019
answering body	Department of Health and Social Care
answering dept id	17
answering dept short name	Health and Social Care
answering dept sort name	Health and Social Care
hansard heading	Health: Children and Young People
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health and Social Care, whether the Government has made an assessment of the effect of trends in the level of poverty on the health of children and young people throughout the UK.
tabling member constituency	Workington
tabling member printed	Sue Hayman
uin	278519
answer	answer is ministerial correction date of answer 25/07/2019 answer text <p>The circumstances we are born in to and the conditions in which we live all have a major bearing on our health and wellbeing. The Government remains committed to tackling poverty so that we can make a lasting difference to long-term outcomes. There is clear evidence about the importance of work in tackling poverty now and in the future. Households where all adults are in work are around six times less likely to be in relative poverty than adults in a household where nobody works. The Government has lifted 400,000 people out of absolute poverty since 2010 and the number of people in employment has increased by over 3.7 million, there are around one million fewer workless households and around 667,000 fewer children in such households.</p> answering member constituency Thurrock answering member printed Jackie Doyle-Price question first answered 25/07/2019 10:18:25 answering member 4065 label Biography information for Dame Jackie Doyle-Price
tabling member	4395 label Biography information for Baroness Hayman of Ullock

1139926

registered interest
date	17/07/2019
answering body	Department of Health and Social Care
answering dept id	17
answering dept short name	Health and Social Care
answering dept sort name	Health and Social Care
hansard heading	Health: Children and Young People
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health and Social Care, what assessment he has made of the implications for his policies of the conclusions in the report entitled, State of Child Health: Two years on, published by the Royal College of Paediatrics and Child Health.
tabling member constituency	Workington
tabling member printed	Sue Hayman
uin	278520
answer	answer is ministerial correction date of answer 25/07/2019 answer text <p>The Department welcomes the contribution provided by the Royal College of Paediatrics and Child Health (RCPCH), which has highlighted a number of challenges that must be addressed. We are pleased with the progress noted by the RCPCH in the most recent assessment, particularly on the NHS Long Term Plan including its focus on maternity, support for mental health, learning disabilities and cancer.</p><p>There are no current plans to introduce a separate children and young people’s health strategy as suggested by the RCPCH and other bodies. Our Prevention Vision is clear on the importance of action in our earliest experiences, the environment around us and from the services we receive. We are focussed on tackling the root causes of poor health, not just treating the symptoms and will continue to lead a range of policies to influence the wider issues that impact on child health.</p> answering member constituency Thurrock answering member printed Jackie Doyle-Price grouped question UIN 278522 question first answered 25/07/2019 10:12:17 answering member 4065 label Biography information for Dame Jackie Doyle-Price
tabling member	4395 label Biography information for Baroness Hayman of Ullock

1139931

registered interest
date	17/07/2019
answering body	Department of Health and Social Care
answering dept id	17
answering dept short name	Health and Social Care
answering dept sort name	Health and Social Care
hansard heading	Health: Children and Young People
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health and Social Care, if the Government will introduce a children and young people's health strategy to link policies that affect child health and to tackle the social determinants of health outcomes.
tabling member constituency	Workington
tabling member printed	Sue Hayman
uin	278522
answer	answer is ministerial correction date of answer 25/07/2019 answer text <p>The Department welcomes the contribution provided by the Royal College of Paediatrics and Child Health (RCPCH), which has highlighted a number of challenges that must be addressed. We are pleased with the progress noted by the RCPCH in the most recent assessment, particularly on the NHS Long Term Plan including its focus on maternity, support for mental health, learning disabilities and cancer.</p><p>There are no current plans to introduce a separate children and young people’s health strategy as suggested by the RCPCH and other bodies. Our Prevention Vision is clear on the importance of action in our earliest experiences, the environment around us and from the services we receive. We are focussed on tackling the root causes of poor health, not just treating the symptoms and will continue to lead a range of policies to influence the wider issues that impact on child health.</p> answering member constituency Thurrock answering member printed Jackie Doyle-Price grouped question UIN 278520 question first answered 25/07/2019 10:12:17 answering member 4065 label Biography information for Dame Jackie Doyle-Price
tabling member	4395 label Biography information for Baroness Hayman of Ullock

1140032

registered interest
date	17/07/2019
answering body	Department of Health and Social Care
answering dept id	17
answering dept short name	Health and Social Care
answering dept sort name	Health and Social Care
hansard heading	NHS: Occupational Health
house id	2
legislature	25277 pref label House of Lords
question text	To ask Her Majesty's Government what progress they have made in deciding what number of occupational health staff are needed by the NHS in England to implement their proposals to facilitate the retention or return to work of those employees with long-term health conditions.
tabling member printed	Lord Luce
uin	HL17267
answer	answer is ministerial correction date of answer 25/07/2019 answer text <p>The Government launched a consultation on 15 July 2019, <em>Health is everyone’s business: proposals to reduce ill health-related job loss</em>, which includes proposals for actions to improve occupational health access for workers. One aspect of this proposal is for Government action to contribute to the development of a sustainable occupational health workforce.</p><p>A copy of the consultation is attached.</p> answering member printed Baroness Blackwood of North Oxford question first answered 25/07/2019 16:50:29 answering member 4019 label Biography information for Baroness Blackwood of North Oxford attachment 1 file name health-is-everyones-business-proposals-to-reduce-ill-health-related-job-loss.pdf title health-is-everyones-business
tabling member	908 label Biography information for Lord Luce

1140038

registered interest
date	17/07/2019
answering body	Department of Health and Social Care
answering dept id	17
answering dept short name	Health and Social Care
answering dept sort name	Health and Social Care
hansard heading	Medical Equipment: Artificial Intelligence
house id	2
legislature	25277 pref label House of Lords
question text	To ask Her Majesty's Government what steps have been taken to regulate AI technology which can be implanted within the human body.
tabling member printed	Lord Taylor of Warwick
uin	HL17273
answer	answer is ministerial correction date of answer 25/07/2019 answer text <p>Implanted technology, that meets the definition of a medical device, is regulated by the Medicines and Healthcare products Regulatory Agency (MHRA), which ensures that such devices meet applicable standards for safety, quality and efficacy.</p><p>The Department, the MHRA and other national health and care bodies are engaging with partners across Government to ensure that our system of regulation keeps pace with new developments in technology.</p><p> </p> answering member printed Baroness Blackwood of North Oxford question first answered 25/07/2019 11:14:42 answering member 4019 label Biography information for Baroness Blackwood of North Oxford
tabling member	1796 label Biography information for Lord Taylor of Warwick

1139192

registered interest
date	16/07/2019
answering body	Department of Health and Social Care
answering dept id	17
answering dept short name	Health and Social Care
answering dept sort name	Health and Social Care
hansard heading	Eating Disorders: Mental Health Services
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health and Social Care, what steps he is taking to ensure that people with eating disorders receive treatment based on their mental state.
tabling member constituency	Peterborough
tabling member printed	Ms Lisa Forbes
uin	277857
answer	answer is ministerial correction date of answer 25/07/2019 answer text <p>All patients should receive necessary treatment appropriate to their individual circumstances.</p><p>National Institute for Health and Care Excellence guidelines suggest that eating disorder specialists and other healthcare teams should collaborate to support effective treatment of physical or mental health comorbidities in people with an eating disorder.</p><p>When collaborating, teams should use outcome measures for both the eating disorder and the physical and mental health comorbidities, to monitor the effectiveness of treatments for each condition and the potential impact they have on each other.</p> answering member constituency Thurrock answering member printed Jackie Doyle-Price question first answered 25/07/2019 10:03:55 answering member 4065 label Biography information for Dame Jackie Doyle-Price
tabling member	4717 label Biography information for Ms Lisa Forbes

1139217

registered interest
date	16/07/2019
answering body	Department of Health and Social Care
answering dept id	17
answering dept short name	Health and Social Care
answering dept sort name	Health and Social Care
hansard heading	Clinical Commissioning Groups: Finance
house id	1
legislature	25259 pref label House of Commons
question text	To ask the Secretary of State for Health and Social Care, what steps his Department is taking to ensure funding for Clinical Commissioning Groups is equitable and protects patient outcomes.
tabling member constituency	Peterborough
tabling member printed	Ms Lisa Forbes
uin	277858
answer	answer is ministerial correction date of answer 22/07/2019 answer text <p>The allocation of funding to clinical commissioning groups (CCGs) to support them in commissioning services for their local population is one of the key duties of NHS England. The approach NHS England must take in setting allocations is outlined in the mandate from the Department which says:</p><p><em> </em></p><p>“The Government expects the principle of ensuring equal access for equal need to be at the heart of NHS England’s approach to allocating budgets.”</p><p> </p><p>The approach is also informed by NHS England’s duty to reduce inequalities to accessing services and the outcomes of care.</p><p> </p><p>These two aims are reflected in the target formula, which produces a target allocation or ‘fair share’ for each area, based on a complex assessment of factors such as demography, morbidity, deprivation, and the unavoidable cost of providing services in different areas. The NHS England Board has agreed a pace of change policy that seeks to bring all CCGs to target funding over time.</p><p> </p><p>The formula is based on independent academic research and is overseen by an independent external group, the Advisory Committee on Resource Allocation, which provides advice to the Secretary of State for Health and Social Care and the Chief Executive of NHS England.</p><p><strong> </strong></p> answering member constituency Wimbledon answering member printed Stephen Hammond question first answered 22/07/2019 15:41:44 answering member 1585 label Biography information for Stephen Hammond
tabling member	4717 label Biography information for Ms Lisa Forbes